Common use of AGREEMENT SIGNATURES Clause in Contracts

AGREEMENT SIGNATURES. Covered Entity: Wright County, Minnesota Covered Entity Official Authorized Signature: Date: Xxx Xxxxx, Administrator Wright County Business Associate: Central Minnesota Guardian and Conservator Services, LLC Business Associate Official Authorized Signature: Date: Xxxxxxx Xxxxxxxx, Owner/Operator Central Minnesota Guardian and Conservator Services, LLC APPENDIX A The Contractor will assure that services rendered hereunder are provided in compliance with all state and federal laws pertaining to the provision of guardianship and/or conservatorship services including but not limited to MN Statute 524.5-101 to 524.5-502, MN Statute 626.557, and MN Statute 245.94 Subd. 2a. Office of the Ombudsman for Mental Health, Mandatory Reporting. Fundamental Requirements The Contractor will fulfill all court related guardianship and/or conservatorship responsibilities and provide all required legal notices to the court and individual for whom they are providing services, including but not limited to: the annual well-being report (guardianship) or annual account of assets (conservatorship) for each client it serves and file it with the court. The Contractor agrees to maintain, at all times during the term of this contract, a process whereby its current and prospective employees and volunteers who will have direct contact with persons served by the program or program services, will consent to a background study for evidence of maltreatment of adults or minors substantiated as required under MN Statute 524.5-118 and 245C.32. Background studies will be supplied to the County and Court upon written request. The Contractor agrees to inform the County of the following, related to it or its employees immediately: any allegation and/or investigation by government agency of fraud or criminal wrongdoing, and concerns that may impact the well-being of the individual being served. The Contractor must petition the Court and receive Court approval for any changes to services to a new provider as well as temporary delegation of guardianship power to another guardian during leaves of absence. The Contractor agrees to communicate all petitions for changes in status to the County. If the status change is approved, the Contractor must ensure new provider has access to all client information and accounts. Anyone entrusted with guardianship/conservatorship responsibilities must comply with the requirements outlined in this Appendix A. The Contractor will accurately and timely report all vulnerable adult and child protection concerns. The Contractor will report the death of an individual served to the State Ombudsman. The Contractor will make every reasonable effort to provide services in a universally accessible, multi- cultural and/or multi-lingual manner to persons of diverse populations. The Contractor will utilize interpreter services anytime they work with an individual who has demonstrated the need for such services to ensure informed consent and ethical information sharing is maintained. The contractor will be responsible for all costs associated with interpreter services. The Contractor will, unless otherwise specified, secure all fees, charges, duties, certifications, and other requirements necessary for the execution and completion of this Contract. The Contractor will have policies and procedures for quality assurance, monitoring, and audit processes in place and be willing and available to respond to any compliance request made by the County.

AGREEMENT SIGNATURES. Covered Entity: Wright County, Minnesota Covered Entity Official Authorized Signature: Date: Xxx Xxxxx, Administrator Wright County Business Associate: Central Minnesota Guardian and Conservator ServicesPresbyterian Family Foundation, LLC Inc. Business Associate Official Authorized Signature: Date: Xxxxxxx XxxxxxxxXxxxxxxxx X. Xxxxxxx, Owner/Operator Central Minnesota Guardian and Conservator ServicesAdministrator Presbyterian Family Foundation, LLC Inc. APPENDIX A The Contractor will assure that services rendered hereunder are provided in compliance with all state and federal laws pertaining to the provision of guardianship and/or conservatorship services including but not limited to MN Statute 524.5-101 to 524.5-502, MN Statute 626.557, and MN Statute 245.94 Subd. 2a. Office of the Ombudsman for Mental Health, Mandatory Reporting. Fundamental Requirements The Contractor will fulfill all court related guardianship and/or conservatorship responsibilities and provide all required legal notices to the court and individual for whom they are providing services, including but not limited to: the annual well-being report (guardianship) or annual account of assets (conservatorship) for each client it serves and file it with the court. The Contractor agrees to maintain, at all times during the term of this contract, a process whereby its current and prospective employees and volunteers who will have direct contact with persons served by the program or program services, will consent to a background study for evidence of maltreatment of adults or minors substantiated as required under MN Statute 524.5-118 and 245C.32. Background studies will be supplied to the County and Court upon written request. The Contractor agrees to inform the County of the following, related to it or its employees immediately: any allegation and/or investigation by government agency of fraud or criminal wrongdoing, and concerns that may impact the well-being of the individual being served. The Contractor must petition the Court and receive Court approval for any changes to services to a new provider as well as temporary delegation of guardianship power to another guardian during leaves of absence. The Contractor agrees to communicate all petitions for changes in status to the County. If the status change is approved, the Contractor must ensure new provider has access to all client information and accounts. Anyone entrusted with guardianship/conservatorship responsibilities must comply with the requirements outlined in this Appendix A. The Contractor will accurately and timely report all vulnerable adult and child protection concerns. The Contractor will report the death of an individual served to the State Ombudsman. The Contractor will make every reasonable effort to provide services in a universally accessible, multi- cultural and/or multi-lingual manner to persons of diverse populations. The Contractor will utilize interpreter services anytime they work with an individual who has demonstrated the need for such services to ensure informed consent and ethical information sharing is maintained. The contractor will be responsible for all costs associated with interpreter services. The Contractor will, unless otherwise specified, secure all fees, charges, duties, certifications, and other requirements necessary for the execution and completion of this Contract. The Contractor will have policies and procedures for quality assurance, monitoring, and audit processes in place and be willing and available to respond to any compliance request made by the County.

AGREEMENT SIGNATURES. Covered Entity: Wright County, Minnesota Covered Entity Official Authorized Signature: Date: Xxx Xxxxx, Administrator Wright County Business Associate: Central Minnesota Guardian and Conservator Services, LLC Dakota Conservators Business Associate Official Authorized Signature: Date: Xxxxxxx XxxxxxxxXxxxxx Xxxxxxxxx, OwnerOwner New Challenges Inc d/Operator Central Minnesota Guardian and Conservator Services, LLC b/a Dakota Conservators APPENDIX A The Contractor will assure that services rendered hereunder are provided in compliance with all state and federal laws pertaining to the provision of guardianship and/or conservatorship services including but not limited to MN Statute 524.5-101 to 524.5-502, MN Statute 626.557, and MN Statute 245.94 Subd. 2a. Office of the Ombudsman for Mental Health, Mandatory Reporting. Fundamental Requirements The Contractor will fulfill all court related guardianship and/or conservatorship responsibilities and provide all required legal notices to the court and individual for whom they are providing services, including but not limited to: the annual well-being report (guardianship) or annual account of assets (conservatorship) for each client it serves and file it with the court. The Contractor agrees to maintain, at all times during the term of this contract, a process whereby its current and prospective employees and volunteers who will have direct contact with persons served by the program or program services, will consent to a background study for evidence of maltreatment of adults or minors substantiated as required under MN Statute 524.5-118 and 245C.32. Background studies will be supplied to the County and Court upon written request. The Contractor agrees to inform the County of the following, related to it or its employees immediately: any allegation and/or investigation by government agency of fraud or criminal wrongdoing, and concerns that may impact the well-being of the individual being served. The Contractor must petition the Court and receive Court approval for any changes to services to a new provider as well as temporary delegation of guardianship power to another guardian during leaves of absence. The Contractor agrees to communicate all petitions for changes in status to the County. If the status change is approved, the Contractor must ensure new provider has access to all client information and accounts. Anyone entrusted with guardianship/conservatorship responsibilities must comply with the requirements outlined in this Appendix A. The Contractor will accurately and timely report all vulnerable adult and child protection concerns. The Contractor will report the death of an individual served to the State Ombudsman. The Contractor will make every reasonable effort to provide services in a universally accessible, multi- cultural and/or multi-lingual manner to persons of diverse populations. The Contractor will utilize interpreter services anytime they work with an individual who has demonstrated the need for such services to ensure informed consent and ethical information sharing is maintained. The contractor will be responsible for all costs associated with interpreter services. The Contractor will, unless otherwise specified, secure all fees, charges, duties, certifications, and other requirements necessary for the execution and completion of this Contract. The Contractor will have policies and procedures for quality assurance, monitoring, and audit processes in place and be willing and available to respond to any compliance request made by the County.

AGREEMENT SIGNATURES. Covered Entity: Wright County, Minnesota Covered Entity Official Authorized Signature: Date: Xxx Xxxxx, Administrator Wright County Business Associate: Central Minnesota Guardian and Conservator Solid Oak Financial Services, LLC Business Associate Official Authorized Signature: Date: Xxxxxxx Xxxxxxxx, Owner/Operator Central Minnesota Guardian and Conservator Xxx Xxxxxxxx Solid Oak Financial Services, LLC APPENDIX A The Contractor will assure that services rendered hereunder are provided in compliance with all state and federal laws pertaining to the provision of guardianship and/or conservatorship services including but not limited to MN Statute 524.5-101 to 524.5-502, MN Statute 626.557, and MN Statute 245.94 Subd. 2a. Office of the Ombudsman for Mental Health, Mandatory Reporting. Fundamental Requirements The Contractor will fulfill all court related guardianship and/or conservatorship responsibilities and provide all required legal notices to the court and individual for whom they are providing services, including but not limited to: the annual well-being report (guardianship) or annual account of assets (conservatorship) for each client it serves and file it with the court. The Contractor agrees to maintain, at all times during the term of this contract, a process whereby its current and prospective employees and volunteers who will have direct contact with persons served by the program or program services, will consent to a background study for evidence of maltreatment of adults or minors substantiated as required under MN Statute 524.5-118 and 245C.32. Background studies will be supplied to the County and Court upon written request. The Contractor agrees to inform the County of the following, related to it or its employees immediately: any allegation and/or investigation by government agency of fraud or criminal wrongdoing, and concerns that may impact the well-being of the individual being served. The Contractor must petition the Court and receive Court approval for any changes to services to a new provider as well as temporary delegation of guardianship power to another guardian during leaves of absence. The Contractor agrees to communicate all petitions for changes in status to the County. If the status change is approved, the Contractor must ensure new provider has access to all client information and accounts. Anyone entrusted with guardianship/conservatorship responsibilities must comply with the requirements outlined in this Appendix A. The Contractor will accurately and timely report all vulnerable adult and child protection concerns. The Contractor will report the death of an individual served to the State Ombudsman. The Contractor will make every reasonable effort to provide services in a universally accessible, multi- cultural and/or multi-lingual manner to persons of diverse populations. The Contractor will utilize interpreter services anytime they work with an individual who has demonstrated the need for such services to ensure informed consent and ethical information sharing is maintained. The contractor will be responsible for all costs associated with interpreter services. The Contractor will, unless otherwise specified, secure all fees, charges, duties, certifications, and other requirements necessary for the execution and completion of this Contract. The Contractor will have policies and procedures for quality assurance, monitoring, and audit processes in place and be willing and available to respond to any compliance request made by the County.